Healthcare Provider Details

I. General information

NPI: 1467514133
Provider Name (Legal Business Name): MARY E CHAPMAN MSW, LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/15/2006
Last Update Date: 05/29/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 DAVOL ST
FALL RIVER MA
02720-1023
US

IV. Provider business mailing address

800 DAVOL ST
FALL RIVER MA
02720-1023
US

V. Phone/Fax

Practice location:
  • Phone: 774-254-0376
  • Fax: 888-613-3440
Mailing address:
  • Phone: 774-254-0376
  • Fax: 888-613-3440

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number115686
License Number StateMA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: